Laura Rose Bolte, PH.D.
Individual provider Active NPI Psychologist · Fort Mitchell, KY
NPI 1366493298 · NPPES record last updated Apr 8, 2019
Key facts
- NPI
- 1366493298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 129227 (KY)
- Practice address
- 305 Artillery Park Dr Unit 102
Fort Mitchell, KY 41017-2794 - Phone
- (859) 426-0200
- Fax
- (859) 426-0042
- NPI assigned
- May 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129227 | KY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bolte Psychological Services, LLC | Clinical | Current | Accepting new patients |
| Suzanne M. James, Psy.D., LLC | Clinical | Past |
Accepting new patients |
Locations
305 Artillery Park Dr
Unit 102
Ft Mitchell, KY 41017
Phone (859) 426-0200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 129227 | KY | |
| Psychologist | 103T00000X | 129227 | KY | Yes |
Addresses
Primary practice location
305 Artillery Park Dr Unit 102
Fort Mitchell, KY 41017-2794
Mailing address
305 Artillery Park Dr Unit 102
Fort Mitchell, KY 41017-2794
Phone (859) 426-0200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0146114 | Medicaid | OH | |
| 7100301780 | Medicaid | KY |
Other providers in Fort Mitchell, KY
- Tyler Blincoe
- Bluegrass Hearing Clinic LLC
- Chloe Carlotta Bohlen
- Mary Elizabeth Bolger
- Bolte Psychological Services, LLC
- Jennifer L Bolton
- Lyndsey Marie Borders
- Michael J. Bosch
- Elizabeth Brannen
- Erika Brinson
All providers in Fort Mitchell, KY · Psychologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.